Provider Demographics
NPI:1356626048
Name:ACUPUNCTURE WELLNESS NW LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE WELLNESS NW LLC
Other - Org Name:HEALING POINTS NORTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:425-778-1234
Mailing Address - Street 1:7907 212TH ST SW STE 200
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7525
Mailing Address - Country:US
Mailing Address - Phone:425-778-1234
Mailing Address - Fax:425-778-6755
Practice Address - Street 1:7907 212TH ST SW STE 200
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7525
Practice Address - Country:US
Practice Address - Phone:425-778-1234
Practice Address - Fax:425-778-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000454171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA602239171OtherWA STATE UBI